MRS. EMILY HORNE WALLACE FNP-C
NPI 1669900296
Nurse Practitioner - Family in Abbeville, SC

Q: What is Emily Wallace's NPI number?

The NPI number for Emily Wallace is 1669900296. It was assigned to this individual provider in the NPPES registry on May 26, 2017.

Q: What is Emily Wallace's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Emily Wallace was last updated on May 26, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 26, 2017PECOS EnrolledAccepts Medicare Assignment

420 THOMSON CIR, ABBEVILLE, SC 29620(864) 366-5011 Get Directions Write a Review

NPPES record last updated: May 26, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Emily Horne Wallace Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. EMILY HORNE WALLACE FNP-C (NPI 1669900296) is an individual family provider in Abbeville, South Carolina, licensed in South Carolina (20996) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, is affiliated with Self Regional Healthcare, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1669900296

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. EMILY HORNE WALLACECredential: FNP-C

Location Address420 THOMSON CIRAbbeville, SC 29620-5656

Mailing Address179 Horne DrAbbeville, SC 29620-4916 · (864) 378-2418

Phone(864) 366-5011

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateMay 26, 2017

✔ NPI 1669900296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in SC · 20996

420 THOMSON CIR, Abbeville, SC 29620

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include First Choice Next.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Emily Horne Wallace Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1153689609

PECOS Enrollment IDI20171211002566

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Self Regional Healthcare

Acute Care Hospitals · Greenwood, SC

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420071

Location1325 Spring StreetGreenwood, SC 29646 · Greenwood County

Emergency services Birthing friendly

Abbeville Area Medical Center

Critical Access Hospitals · Abbeville, SC

OwnershipVoluntary non-profit - Other

CMS Certification Number421301

Location420 Thomson CircleAbbeville, SC 29620 · Abbeville County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29620 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier26 claims26 services$19.68 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier26 claims26 services$114.11 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TONYA KAY MOORE PT

Rehabilitation Practitioner